Mobile healthcare, telemedicine, telehealth, BYOD

Telehealth Reimbursement

Illinois OKs Medicaid Coverage for Mental Health Via Telehealth

August 23, 2018 - Illinois Gov. Bruce Rauner has approved legislation mandating the state’s Medicaid program to reimburse behavioral and mental health providers for telehealth. The bill was one of five signed into law this week by Rauner, all designed to improve access to mental healthcare and increase treatment opportunities in the midst of an opioid abuse crisis. “We are taking steps to...


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CMS Overhaul of ACO Rules Includes a Nod to Telehealth’s Value

by Eric Wicklund

A federal effort to revamp the rules around Accountable Care Organizations includes a few nods to telehealth and telemedicine, giving healthcare providers hope that connected care platforms will become more prominent in an overhauled...

CMS Makes a ‘Landmark Change’ in RPM, Telehealth Reimbursement

by Eric Wicklund

Earlier this month, the Centers for Medicare & Medicaid Services unveiled its proposed 2019 Medicare Physician Fee Schedule and Quality Payment Program, with several amendments designed to boost remote patient monitoring and telehealth...

State Medicaid Programs Are Seeing the Value of Telehealth at Home

by Eric Wicklund

State lawmakers are coming around to the concept of allowing Medicaid members to access telehealth and telemedicine services from their own homes. In its spring 2018 update of the State Telehealth Laws and Reimbursement Policies Report,...

Feds Take CMS to Task Over Improper Telehealth Reimbursements

by Eric Wicklund

About three of every 10 Medicare reimbursements for telehealth in 2014-15 were made in error, according to a recent audit by federal regulators. The U.S. Health and Human Services Department of the Inspector General announced last week...

Senate Bill Expands Rural Access to Telehealth in Iowa

by Jessica Kent

A bill approved by the Iowa Senate requires health insurers to cover both telehealth and in-person services equally and could expand rural access to telemedicine, particularly in specialty areas such as psychiatry. “Telehealth...

CT Employers, Payers Oppose Fixed Rates for Telehealth Services

by Kyle Murphy, PhD

A recent hearing to discuss a bill to allow Connecticut physicians to provide telepsychiatry services saw employers and health plans in the state opposing a measure to pay for these telehealth services at the same rate as in-person...

Utah Lawmakers, Payers Grapple Over Telemental Health Legislation

by Eric Wicklund

Utah lawmakers are grappling with proposed legislation that would require insurers to cover telemental health consults. HB 139, sponsored by Rep. Steve Eliason (R.-Sandy), would mandate that the state’s Medicaid program and private...

OIG Expands Telehealth, Telemedicine Audits to Medicaid Claims

by Eric Wicklund

Healthcare providers will be checking to make sure their telehealth and telemedicine programs comply with state Medicaid regulations following news that the Health and Human Services Department’s Office of the Inspector General will...

MA Telehealth Bill Set For Passage; Others Aren’t So Fortunate

by Eric Wicklund

A proposed bill to boost telehealth coverage in Medicare Advantage plans is set for passage, while other bills that would loosen Medicare’s restrictions on telemedicine and telehealth – including expanding telestroke services...

CMS Won’t Cover Telehealth in Medicare Diabetes Prevention Program

by Eric Wicklund

The Centers for Medicare and Medicaid Services has once again declined to cover virtual coaching platforms in the Medicare Diabetes Prevention Program, saying the mHealth and telehealth platform isn’t reliable enough to warrant...

Kansas Payers Push Back Against Telehealth Payment Parity

by Eric Wicklund

Payers in Kansas are fighting proposals for payment parity in telehealth, saying a virtual visit shouldn’t be reimbursed at the same rate as in in-person visit. “Telemedicine services are not equivalent to in-person services...

Telehealth Barriers Should Be Defined by Access, Not Geography

by Eric Wicklund

Telehealth and telemedicine programs aren’t catching on in urban America because reimbursement models are targeting the wrong metric. That’s the opinion of researchers from Princeton University and Philadelphia’s Thomas...

Congress Mulls Proposal to Boost Telehealth Coverage in MA Plans

by Eric Wicklund

The latest telehealth bill surfacing in Washington DC targets Medicare Advantage plans. H.R. 3727, introduced on Sept. 11 by US Reps. Diane Black (R-Tenn.), Mike Thompson (D-Calif.), Doris Matsui (D-Calif..) and Susan Brooks (R-Ind.),...

Medicare Spending on Telehealth Increases, But Barriers Remain

by Eric Wicklund

Healthcare providers may be using more telehealth and telemedicine than ever before, but Medicare Is still a significant barrier to growth. An analysis of the Centers for Medicare and Medicare Services’ 2016 payments for telehealth...

CMS Reimbursing For Telemedicine Even As It Scales Back Programs

by Eric Wicklund

In a bit of good news-bad news for the telemedicine industry, federal officials said they will reimburse healthcare providers for their telemedicine expenses in a bundled payment program – even as they announced plans to scale back...

Telehealth Stands to Gain from Anthem’s ER Policy Expansion

by Eric Wicklund

Anthem is expanding its strategy of denying payments for unnecessary ER visits, a move that could push more consumers across the country toward telehealth or mHealth services. The insurer, which administers Blue Cross Blue Shield plans in...

CMS Urged to Include mHealth in Diabetes Prevention Program

by Eric Wicklund

Digital diabetes coaching providers are joining forces in an effort to convince the Centers for Medicare and Medicaid Services to include mHealth in the Medicare Diabetes Prevention Program. Some virtual coaching is included in the MDPP,...

New Bill Seeks to Expand Medicare Reimbursement for Telemedicine

by Eric Wicklund

A bill to expand Medicare coverage for telehealth services that has been kicked around on Capitol Hill since 2013 is once again in Congress’ hands. U.S. Rep. Gregg Harper (R-Miss.) has re-introduced the Telehealth Enhancement Act...

CMS Considers Telehealth for New Models of Behavioral Healthcare

by Eric Wicklund

Federal officials are looking at telehealth in their search for new models of care for Medicare and Medicaid beneficiaries with behavioral health issues. The Centers for Medicare & Medicaid Services has scheduled a September summit to...

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